Mackerman Music Studio

       Mackerman Music
     Online Piano

 Located in Lauderdale, MN, 
Serving Students Everywhere

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FALL 2020 REGISTRATION
Mondays, Tuesdays and Wednesdays 
Sept. 8-Dec. 9

To register for lessons, please complete and submit the following by 1st lesson:


1. Signed Teacher’s Studio Policy form (See Studio Policy under More on right menu)

2. Tuition: (See Tuition under More on right menu)

3. Registration form for each student (below).


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                                    Fall Session 2020 Piano Student Registration


Please complete for each student and bring to your 1st lesson.


Student Name: ________________________________Nickname (if any) ___________________


Home Phone: _________Address: ___________________Grade: ____ Age: __ Birthday______

City, State, Zip ________________________________


School:__________________________________________________________


Mother’s Name/Work Phone:   __________________ Cell Phone: ____________________


Father’s Name/Work Phone:   __________________  Cell Phone:   ___________________  


Preferred app(s) for online lessons:  Zoom, FaceTime


_______________________________________________________


In case I need to contact this student’s parent during the day, and neither parent can be reached at home, please provide at least one work email address below.


Mother’s Email: ____________________________________________


Father’s Email: _____________________________________________


Preferred Interfaces: Facetime ____; Facebook Messenger ____; Skype ____; Zoom ____


Emergency Contact Name: _______________________________________


Emergency Contact Phone: ______________________________________


Student's musical experience (if any):

______________________________________________________________


_______________________________________________________________


Referred by (if anyone):


______________________________________________________________




PIANO INSTRUCTION

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